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Cardiac Compromise
Anything dealing with Cardiac Compromise, V-Fib, V-Tach, PEA etc
Question | Answer |
---|---|
Blanket term for any kind of heart problem? | Cardiac Compromise |
What is a common complaint from paitents with cardiac compromise? | Pain, pressure, or discomfort that commonly radiates along the arms(usually left, cna be both), down to the upper abdomen, or to the jaw. Also dyspnea. |
What is Bradycarida? | Pulse rate of 60 beats per minute or lower. |
What is Tachycarida? | Pulse rate of 100 beats per minute or higher. |
What are palpitations? | Irregular or rapid heartbeats that feel like a fluttering senstaion in the chest. |
What is Atherosclerosis? | A build-up of fatty deposits on the inner walls of arteries. The bulid up causes a narrowing of the inner vessel diameter, restricting the flow of blood. |
What is Arteriosclerosis? | A stiffening or hardening of the artery wall resulting from calcium deposits. This causes the vessel to lose it's elasticity. |
What is dysrhythmia? | An irregular or absent heart rhythm. |
What is the maxium dosage of Nitro tablets and over how long? | 3 and 10 |
What is Acute Myocaridal Infarction? | Condition in which portion of the heart muscle dies as a result of oxygen starvation. |
What can cause an AMI? | Coronary artery disease, chronic respiratory problems, unusual exertion, and severe emotional stress. |
What is a beta blocker? | A medications that slows the heart and makes it beat less strongly. |
What causes Congestive Heart Failure? | Excessive fluid build-up in the lungs and/or other organs and body parts because of the inadequate pumping of the heart. |
What is the defintion of edema? | Fluid build up, also known as swelling. |
Pulmonary edema is what? | Fluid accumulation in the lungs. |
Pedal Edema is what and happens in what part of the body? | When the right side of the heart gets congested blood backs up into the body. The blood tends to accumulate in the feet and ankles. |
Define ventricular Fibrilation(V-Fib) | A condition in which the heart's electrical impulses are disorganized, preventing the heart muscle from contracting normally. |
Is V-Fib a shockable rhythm? | Yes because defibrillation is effective. |
Define Ventricular Tachycardia | A condition in which the heartbeat is quite rapid; if rapid enough the heart chambers will not be able to fill with enough blood. |
Is pulseless V-Tach a shockable rhythm? | Yes it can still be effective. |
Is a patient allowed to be shocked if they are awake and have a pulse even whenthe AED says 'shockable?' | No because this would be inappropriate. |
Define Pulseless Electrical Activity(PEA)? | Electrical rhythm is still there but no pumping action is going on which causes cardiac arrest. |
Is PEA a shockable rhythm? | It is a nonshockable rhythm because even though the heart still has electrical activity, the heart has stopped which may indicate serious illness to the heart. |
Define asystole | A condition in which the heart has ceased generating electrical impulses. |
Is asystole a shockable rhythm? | It is a nonshockable rhythm because there is no electrical stimulus to make the heart contract and send blood through out the body. |
cardiac arrest treatment sequence? | Verify arrest, start CPR, apply AED and analyze, shock if indicated, check pulse, repeat is needed. |
What is the max number of shocks that can be given to a patient? | Three unless your protocols say otherwise. |
What is the proper dose of electricity for an AED? | Either 360 joules or 120-200 joules depending on the type. |
What are containdications for an AED? | Not on patients one year or younger. Not on trauma patients. Lastly, not on patients with hypothermia. |